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Coastal Care Corporation

Radiology Clinic/Center in Port St Lucie, FL · enumerated 2006 · authorized official Dennis Laraway, Executive Vp Chief Finance Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558320556

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Registry record

Entity type Organization (Type 2)
Legal business name Coastal Care Corporation
Other name <Unavail>
Practice address 1095 Nw Saint Lucie West Blvd, Port St Lucie, FL, 34986
Fax (772) 223-5622
Enumeration date Mar 20, 2006
Last updated in NPPES Aug 8, 2025

Taxonomy & classification

261QM1200X Magnetic Resonance Imaging (MRI) Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0200X Radiology Clinic/Center Ambulatory Health Care Facilities · License 4102 (FL) Primary
261QR0206X Mammography Clinic/Center Ambulatory Health Care Facilities · License 4102 (FL) Secondary

Authorized official

Name Dennis Laraway
Title Executive Vp Chief Finance Officer

Other identifiers

Identifier Type State Issuer
CA5218 Other FL RR MEDICARE
V2390 Other FL BLUE CROSS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Coastal Care Corporation?
Coastal Care Corporation is registered in NPPES as a Radiology Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-08.